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Brent Leavitt
Critical Access Hospital in Chubbuck, Idaho
NPI 1851761464

Brent Leavitt is a Critical Access Hospital based in Chubbuck, ID and is specialized in Critical Access. Brent Leavitt practices in Chubbuck, ID. The NPI Number for Brent Leavitt is 1851761464 and holds a License No. (Idaho).

The current practice location address for Brent Leavitt is 4928 Pleasant View Dr, Chubbuck, ID and can be reached out via phone at 208-760-9416.

Location: 4928 Pleasant View Dr, Chubbuck, ID, 83202-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851761464
Provider Name
Brent Leavitt
Credential
Provider Entity Type
Organization
Address
4928 Pleasant View Dr, Chubbuck, ID, 83202-1640
Phone Number
208-760-9416
Fax Number
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4928 Pleasant View Dr
City
Chubbuck
State
Idaho
Zip
83202-1640
Phone Number
208-760-9416
Fax Number
person
Provider Business Mailing Address Details
Address
4928 Pleasant View Dr
City
Chubbuck
State
Idaho
Zip
83202-1640
Phone Number
208-760-9416
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
(Idaho)
Definition
Definition to come.
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